Main description:

A “Clinical Pearl” is shorthand for that critical nugget of information that makes a procedure or a treatment option or therapeutic agent more effective, more efficient, and produces the best possible outcome. A pearl is essentially “off-label”. In surgical specialties, these pearls are even more important because knowing how to avoid complications is better for the patient and the physician. With this book, ophthalmologists and cosmetic surgeons can become more skilled and increase their numbers of successful outcomes.

Feature:

With this book, ophthalmologists and cosmetic surgeons can obtain critical nuggets of information that can increase their number of successful procedures

Back cover:

The dilemma is nearly universal among physicians with busy clinical practices: Information Overload. As textbooks, journal articles, CME programs and certification/recertification exams take time and energy away from practice, the need for cleanly distilled and clinically relevant information becomes more pronounced.

Pearls and Pitfalls in Oculoplastic Cosmetic Surgery attacks Information Overload with quick reference and high yield snapshots of more than 200 cosmetic procedures. The editors and authors are all expert in their fields and offer "here’s how I do it" advice on the most commonly performed procedures. The authors address pre-operative evaluation, procedural pearls, wound healing, complications, and common anesthesia issues. Nearly every case has full color illustrations to bring each case to life.

This concise and practical "how to" book will come down from the bookshelf several times a week as you prep for procedures. Each chapter becomes the voice of an expert and experienced colleague, reminding you of the pearls and pitfalls of each procedure. These pearls will lead to quicker cases, fewer complications, and more satisfactory outcomes for you and your patients.

Preoperative evaluation - Anesthesia - Upper Lid Blepharoplasty - Lower Lid Blepharoplasty - Forehead Rejuvenation - Midface lift - Botox - Fillers - Skin Rejuvenation - Thread Lift - Other Cosmetic Procedures - Fuctional Lid Malpositions 

Contents:

Part I. Preoperative evaluation.- 1. Preoperative evaluation of the cosmetic patient.- 2. Evaluation of the Difficult Cosmetic Patient.- 3. Preoperative patient counseling for cosmetic blepharoplasty.- Part II. Anesthesia.- 4. Guide to Local Anesthetic Medications.- 5. Motor nerve blocks in oculofacial surgery.-6. Regional nerve blocks in oculofacial surgery.- 7. Procedural Sedation in oculofacial surgery.- 8. Pre-operative preparation and Anesthesia.- 9. Maximizing patient comfort for blepharoplasty with straight local anesthesia.- 10. How to minimize discomfort to the patient when injecting the lids.- 11. Achieving patient comfort in blepharoplasty surgery.- 12. Enhancing patient comfort with local anesthetic.- 13. 'Digital Diffusion' Technique for the Administration of Local Anesthetic.- 14. Oculofacial Anesthesia.- 15. Anesthesia for in-office oculoplastic surgery.- Part III: Upper Lid Blepharoplasty.- Section One: Preoperative evaluation.- 16. Upper Eyelid Blepharoplasty: The Evaluation.- 17. Preoperative examination checklist for upper blepharoplasty.- 18. Preoperative measurements in upper blepharoplasty.- 19. Patient evaluation for upper blepharoplasty.- 20. Preoperative Evaluation and documentation in upper blepharoplasty.- Section Two: Incision planning.- 21. Marking strategies for upper blepharoplasty.- 22. Orbit size and lid marking in upper blepharoplasty.- 23. Incisional guidelines when marking the skin in Upper Eyelid Blepharoplasty.- 24. Marking the Proposed Upper Eyelid Crease: Determining the Safe Amount of Skin Removal:The Pinch Technique.- 25. Keys to success when Marking the skin in Upper Blepharoplasty.- 26. Skin marking adjustments in upper lid blepharoplasty.- 27. Preventing web formation during skin marking in upper blepharoplasty.- 28. Skin marking in upper blepharoplasty—avoiding pitfalls.- Section Three: Upper blepharoplasty procedurepearls.- 29. Upper blepharoplasty: Pearls for the Procedure.- .30. Fat excision in upper blepharoplasty.- 31. Mobilizing and Excising the Nasal Fat Pad in upper blepharoplasty.- 32. Tissue removal considerations in Blepharoplasty surgery.- 33. Less hematomas in upper blepharoplasty.- 34. Ellman vs. CO2: which Is better?.- 35. Fat preservation and other tips for Upper blepharoplasty.- Section four: Adjunctive procedures in upper blepharoplasty.- 36. Internal brow lift with corrugator removal.- 37. Trans-blepharoplasty incision browpexy.- 38. Addressing the brow during upper blepharoplasty.- 39. The ROOF in upper blepharoplasty.- 40. Excision of ROOF Fat during upper blepharoplasty.- 41. Transblepharoplasty incision lower lid canthopexy.- 42. Lower lid canthopexy through Upper lid incision.- Section five: Wound closure and post-op care.- 43. Avoiding Dog Ears during Upper Blepharoplasty Closure.- 44. Crease formation in upper blepharoplasty.- 45. Use of Tissue adhesive for blepharoplasty incision closure.- 46. Postoperative care following upper blepharoplasty.- 47. Avoiding or minimizing Postoperative Swelling.- Section six: Special Topics.- 48. Management of post-blepharoplasty dry eye.- 49. Asian Blepharoplasty.- PART IV: Lower Lid Blepharoplasty.- Section One: Preoperative considerations.- 50. Lower Eyelid Blepharoplasty: The Evaluation.- 51. Lower Eyelid Blepharoplasty evaluation—avoid the cookie cutter approach.- 52. The skin in lower lid blepharoplasty—general principles.- Section Two: Procedure pearls.- 53. The treatment of festoons in lower blepharoplasty.- 54. Achieving symmetry in lower blepharoplasty fat removal.- 55. Lower Eyelid Blepharoplasty: Procedure Pearls and Pitfalls.- 56. Incising the septum over the nasal, central, and lateral fat pads in lower blepharoplasty.- 57. Hemostasis in Lower blepharoplasty.- 58. Prolapsing the inferior fat pads